| NPI | 1124311642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA10501900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449558) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2019-07-02 |